書誌事項
- タイトル別名
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- Fatal Septic Shock Caused by Transrectal Needle Biopsy of the Prostate; A Case Report
- 臨床 経直腸的前立腺針生検による敗血症性ショックの1死亡例
- リンショウ ケイ チョクチョウテキ ゼンリツセンシンセイケン ニ ヨル ハイケツショウセイ ショック ノ 1 シボウレイ
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A 46-year-old man refer to us because of hemospermia. The prostatic gland was normal in size and consistency at rectal examination. Serum prostate specific antigen was 7.04ng/ml. Magnetic resonance imaging showed an area of low signal intensity on T2-weighted images in the left peripheral gland, possibly indicative of carcinoma. Transrectal prostate biopsy was performed after intravenous administration of piperacillin. He developed chills and fever (39°C) the next morning following biopsy. He was taken unconscious into the hospital where a diagnosis of septic shock caused by Escherichia coli was made. Five days later, he died. His general condition deteriorated notwithstanding intensive treatment. Postmortem blood cultures were positive for a piperacillin resistant Escherichia coli. Histological examination of the biopsies showed a benign prostatic hyperplasia. Autopsy showed diffuse tissue damage in the heart, lung, liver and kidneys. The prostate had numerous microabscesses.<BR>Currently, transrectal prostate biopsy is considered a generally reliable procedure to detect adenocarcinoma of the prostate. Our case seems to the sixth case report of fatal complications.
収録刊行物
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- 感染症学雑誌
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感染症学雑誌 76 (10), 893-897, 2002
一般社団法人 日本感染症学会
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詳細情報 詳細情報について
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- CRID
- 1390282680026745344
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- NII論文ID
- 130004331000
- 10010296944
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- NII書誌ID
- AN00047715
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- ISSN
- 1884569X
- 03875911
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- NDL書誌ID
- 6341997
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- PubMed
- 12448850
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
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- 抄録ライセンスフラグ
- 使用不可